COLLABORATIVE MINDS, LLC (NPI# 1073863189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073863189 |
| Entity Type | Organization |
| Organization Name | COLLABORATIVE MINDS, LLC |
| Practice Address |
7902 Wrenwood Blvd Suite A. Baton Rouge LA 70809-1794 |
| Mailing Address |
10517 Kentshire Ct Baton Rouge LA 70810-2853 |
| Practice Telephone | 2254562884 |
| Practice Fax Number | 2254562892 |
| Mailing Telephone | 2254562884 |
| Mailing Fax Number | 2254562892 |
| Enumeration Date | 2012-09-17 |
| Last Update Date | 2019-10-07 |
| Authorized Official Name | DR. LARRY W. WARNER JR. (MEMBER) |
| Authorized Official Telephone | 5044002477 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Collaborative Minds, LLC | 18 Mckinley Pl, Colorado Springs, CO 80905 |
| Connecticut Business Registrations | COLLABORATIVE MINDS, LLC | 291 Gales Ferry Road, Groton, CT 06340 |
| Street Address |
7902 WRENWOOD BLVD SUITE A. |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70809-1794 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629325089 | New Beginnings Treatment Center | Clinic/Center | 7902 Wrenwood Blvd, Suite A, Baton Rouge, LA 70809-1794 | 2012-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619582640 | Lisha Kerr Jacobsen | Counselor | 7936 Wrenwood Drive, Bldg # A, Baton Rouge, LA 70809 | 2020-09-15 |
| 1790301596 | Louisiana Regenerative Medicine Center | Clinic/Center | 9456 Jefferson Hwy St A, Baton Rouge, LA 70809 | 2020-06-18 |
| 1093337305 | Sew Luxe Customs, LLC | Prosthetic/Orthotic Supplier | 8674 Quarters Lake Road, Building 11 Suit 1, Baton Rouge, LA 70809 | 2020-05-08 |
| 1366903908 | Tamika Wyna Piper | Counselor | 11445 Reiger Road, Baton Rouge, LA 70809 | 2019-03-27 |
| 1548734213 | Urg-hab Surgical Specialists | Pain Medicine | 8558 Jefferson Hwy, Baton Rouge, LA 70809 | 2019-01-16 |
| 1205306610 | Monique West | Case Manager/Care Coordinator | 9441 Common Street, Suite B, Baton Rouge, LA 70809 | 2018-11-28 |
| 1679061618 | Sara Elizabeth Nicole Altaean | Massage Therapist | Ability Massage & Day Spa, 7656 Jefferson Hwy Suite 1a, Baton Rouge, LA 70809 | 2018-04-25 |
| 1871098921 | Gary Bernard Jr. | Massage Therapist | 7656 Jefferson Hwy Suite 1a, Baton Rouge, LA 70809 | 2018-03-29 |
| 1619476355 | De'andria Banks | Behavior Technician | 9150 Bareford Drive, Baton Rouge, LA 70809 | 2018-02-08 |
| 1427561679 | Angiogenesis Medical LLC | Durable Medical Equipment & Medical Supplies | 8032 Summa Ave Ste D, Baton Rouge, LA 70809 | 2017-11-09 |
| Find all providers in zip 70809 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275159238 | Sonia S. Blauvelt, Ph.d., LLC | Clinic/Center | 11914 Justice Ave Ste B3, Baton Rouge, LA 70816-5315 | 2020-06-24 |
| 1831739291 | Tiffany Mccaughey, Phd LLC | Clinic/Center | 2223 Quail Run Ste H1, Baton Rouge, LA 70808-9063 | 2020-01-13 |
| 1700392834 | Emily Hausladen, Lpc | Clinic/Center | 2133 Silverside Dr Ste G, Baton Rouge, LA 70808-4179 | 2017-12-27 |
| 1538675459 | Skj Professional Services, LLC | Clinic/Center | 8280 Ymca Plaza Dr Bldg 10b, Baton Rouge, LA 70810-0929 | 2017-12-15 |
| 1932613007 | Key Neuropsychology LLC | Clinic/Center | 2223 Quail Run Ste H1, Baton Rouge, LA 70808-9063 | 2017-11-27 |
| 1710403852 | The Chrysalis Center, LLC | Clinic/Center | 2900 Westfork Dr Ste 401, Baton Rouge, LA 70827 | 2017-08-21 |
| 1215389275 | Bc Counseling LLC | Clinic/Center | 8752 Quarters Lake Rd, Bldg 9, Baton Rouge, LA 70809-7306 | 2016-07-01 |
| 1306207253 | Jefferson Oaks Professional Services | Clinic/Center | 8318 Jefferson Hwy, Ste. A, Baton Rouge, LA 70809-0800 | 2016-03-18 |
| 1679950299 | Volunteers of America Greater Baton Rouge | Clinic/Center | 3949 North Blvd, Baton Rouge, LA 70806-3827 | 2015-05-04 |
| 1588910947 | Post Trauma Institute of Louisiana | Clinic/Center | 2798 Oneal Ln, Ste. 8, Baton Rouge, LA 70816-3407 | 2012-08-02 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70809 |
Please comment or provide details below to improve the information on COLLABORATIVE MINDS, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.